Citizens Academy Application | Spring 2024
I understand that I must complete this application truthfully to the best of my knowledge. I acknowledge that failure to provide truthful and complete answers may be grounds to deny my participation in this program. I also grant consent for the Travis County Sheriff’s Office to complete a background and warrant check prior to being approved to participate in this program.
Full Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Place of Employment or N/A
*
Employment Phone Number or N/A
*
Please enter a valid phone number.
Occupation or N/A
*
List all memberships in community groups, civic organizations, etc.:
*
What is your objective in enrolling in the Citizen’s Academy?
*
Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Phone Number
*
Please enter a valid phone number.
Relationship
*
Signature of Acknowledgment
I am 18 years of age or older, and I hereby acknowledge that the above is complete and accurate to the best of my knowledge. I also acknowledge that the Travis County Sheriff’s Office will be conducting a background investigation on me to determine my suitability for admission to this program as Step 2 of this application process.
Type a question
*
Submit
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